This document proposes a centralized patient monitoring system with real-time dengue outbreak detection. It describes a solution that uses IoT devices connected to patients to continuously monitor vitals and send data to an Azure IoT Hub for analysis. If vitals go outside normal ranges, alerts are sent to doctors' phones. A similar system could detect dengue outbreaks by monitoring patients' locations, temperatures, and other symptoms reported by IoT medical devices on a blockchain network. This would allow timely public health interventions for dengue, which can be fatal if not treated early.